A Comparison of Textured versus Smooth-Surfaced Implants in Subfascial Breast Augmentation.

[BACKGROUND] Subfascial placement of breast implants has the advantages of subglandular and submuscular placement without the adverse outcomes. This study examined the differences in outcomes between textured and smooth implants.

[METHODS] A total of 385 patients underwent subfascial breast augmentation in 2 cohorts. The initial series ( n = 209) used textured implants and the second ( n = 176) used smooth implants. In all other respects, patient management was identical. Adverse outcomes, changes in breast morphometry, and patient satisfaction were compared between the 2 groups.

[RESULTS] The follow-up period ranged from to 74 to 272 weeks for smooth implants (mean ± SD, 164 ± 50.6 weeks) and from 78 to 279 weeks for textured implants (mean ± SD, 186 ± 54 weeks). The incidence of capsular contracture was the same for smooth and textured implants (4.7% and 6.2%; P = 0.64). Changes in breast shape at the lower pole, patient satisfaction, and the incidence of other adverse outcomes were the same in both groups.

[CONCLUSION] Subfascial placement of smooth and textured breast implants yielded similar outcomes.

[CLINICAL QUESTION/LEVEL OF EVIDENCE] Therapeutic, III.